Hybrid Program Interest Form

If you would are interested in our Hybrid Program, please submit this application for each student you wish to enroll.

Keep in mind we do have an approval process - submitting this application form for students does NOT by itself guarantee service. If your student(s) are accepted, we will follow up with an email and additional information.

Let us know a bit more about your student!

Full Name of Parent/Guardian

Full Name of Student

Parent/Guardian Email

Parent/Guardian Phone #

Student Date of Birth

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Is this student already enrolled in the Satellite Program?

Does your child need any accommodations?

Does your child have any disciplinary concerns we should know about?

Schooling History

Student's Strengths, Interests, & Hobbies

Other Notes

How did you hear about our Hybrid Program?

I have legal custody and educational rights for student(s) for whom I am submitting enrollment application(s).

I understand that participation in this program requires my student(s) to be enrolled in The Farm School Satellite Campuses Program, and that I am legally obligated to provide and log 180 days of instruction by the end of each semester regardless of days attended at Solar.

Yes, I agree and understand that by typing my name below this will act as my electronic signature and is the legal equivalent of my handwritten signature and I consent to this electronic signature acknowledgement.

E-Signature